The first sign of oedema is often swelling in the ankle or back of the hand, which typically resolves with rest and elevation overnight. Affected areas may feel sore, warm, irritated, or appear darker in skin tone. Over time, the swelling can become persistent, firmer, does not go away overnight and changes in the skin can be seen. Addressing this early provides more treatment options, but even in advanced cases, significant improvements can often still be achieved.